HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
APPLICABLE, INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ALL
SCANNED
Perm It Num
Date: I ber:
BY
St. Lucie County RECIE-EOVED
tam'.
Building Permit Application AUG 3 2ol7
Planning,andiDeyelopMent Services
Building and Code Regulation Division
2306 Virginia I Avenue, Fort Pierce Ft 34982
Phone: (77�1) 462-1553 Fax: (772) 4612-1578 Commercial Residential A/
PERMIT APPLICATION FOR: T6,Select from dropbox, click arrow at the end of line
Address: S.UkJeO'1�4J &lV'<1(C 110
e rj P Aq5e 1/10
Legal Descrip I
P Lb -7 kil R6
Pon;
Property TaxilD
#: Lot No. —
Site Planflarne:
Block No.
Project Name:
Setbacks: Front_
Back: Right Side: Left Side:
=�Al�[tb'
VM1WGRK1
q qjaCl� et by� j"" V) S
S"-
.611
C T P"'!
m
Additional work to be e ormed unclertrilis
permit — cneCK all appily:
MIGas
LIHVACI Gas Tank
Piping Shutters Windows/Doors
[JElect C Plumbing
�]Sprinklersl Generator Roof
Total Sq. Ft of Construction:
.
� 1 6-0
S Ft of First Floor:
CnSewerl]
Cost of Co 6str6ction: $ �i:
Utilities.. S*ic Building Height:
TRAffib ft.
Name .&,0,le5e
ho-,vo_T"
I
Name: Peter A Qafa�p Ill
T?;, L-0, Ve (J 1�:CIIU
I CA I(V e
Company: Lowes. H I ame Centers. LLC
Address:
State:t:�-
City:
Address: P-0 BOX 781993
City: Orlando I State: FL
Zip Code:
13, Ll Fax:
Phone No.
1
Zip Code: 32878-19 . 93 Fax:
'I
E-Mail: .
Phone No.
Title Hold xCpage I If different
E-Mail:
Fill In feetsimpile
State or County License: CGC1508417
(fro - - ,
m the
I,.,
F - I
listed above)
owner
If valueof cbristiuction
is $2500 or nibriaRECORDED Notice of Commencement is required.
DESIGNER -ENG
NEER: Q APEplicanle
MORTGAGECDFIPANY:
Not Applicable
Name: : , i
Name:
Aciclress�., I I
n
FAddress:
state:
City: —7—
Zip: I
State:
_Phone:_
City:
Zip: _lPhone:
ZI p
FEE SIMPLE
E HOLDER- N6t Applicable
BONDING COMOANY:
Not Applicable
Name:
Name:
I
Add
Address:
City
Zip: I
City:_
Zip:
Phone:
Phone:
I certify that ri�iw
rk or installation has corrihienced prior to tNe issuance of a permit.
St. Lucie 6un
kes no representation;tl�iqlt is granting a permit will authorize the 9 ermit holder to build the subject structure
such
71� q
which is infcon lot
ith any applicable HomejOwnersAssociatlon rules, bylaws oran covenants that may restrict or prohibit
Association and review deedifo any restrictions which may apply.
structurli.!Pleas6 c!
nsult with your Home Oi�ners your
I do hereby agree that I w, 1p,all respects per orm the work
In consideraticiii.o
in accordance wit
the granting of this reilAtecl permit,
the approved plans, the,F16ridS Building Codes and St. Lucie, Couiity��'A`merndpme s.
The folio ngl lull
Ing permit applications are exempt from undergoing a full concuere cy revi : r om additions,
rooms and access'. u]se,s ano er non-residential use
accesso iu
?s, swimming pools, feriii;s; walls, signs, screen
istm
WAR I
ER: Yo ur Recordri Notice of Commencdm na result your pa In ce or
im
f f
fice of commenc ment must be rec rded a d post the jobsite
e
y r prop etore
"it
tion. oul end to obtain financin I it erider o an a rn
9 con
befor e r"
com nci
sp
rk n rpr din o7 Notice of Commence;�ent.stl
ner/ Lessee/Agent
Signature of
tor/License H er
;TATE�CIFII'L
IDA.
STATE CITY] 9RI
A
COU
40E
E
urneAwrs acknowled 'gi Od,
I Ufore me
The
this
The oin I S
th s d f
I I �
fl"IrUl
Milt was acknowledg before me
20 by
PET E
TERACA A 0
PE F
(Name of pe bn[acknovilledging)
.
(Name of person a
knowledgi
9 a ure o. 6 a
Public- State of F11 ida
(sIgnatu'WyTof
ary -Public- State bf Flbridb-)
If
Personally K
i x OR Produced Identification
Personally)(no
Xi OR Produced Identification
n R
Type oi lde �ioflv
tlon�Producecl p �[
1
Type of Identli lca
I
n pioduc ed
I -
n' No
Commissio"
W1647
FF MICA7
I
ago SWO
Commission No, F:98
7.
as f;'OV Not" Pu S of Florida
4r,
1A Riccabord
- Karl M PJ=bonl
osr
'�'o7rd' Explres OMM020
Revised
7/
512014
1
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